Meet the Other Phone. Flexible and made to last.

Meet the Other Phone.
Flexible and made to last.

Buy now

Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

See all MNHQ comments on this thread

AIBU - With this new data on obesity and the NHS is it time to have some honest and difficult conversations?

1000 replies

IAmADancer · 18/05/2023 10:47

New data from a ‘landmark study’ has show that obesity costs the NHS around 14billion a year and that 2 out of 3 adults are obese.

I know this is a difficult subject but the numbers are pretty clear. With the cost of living crisis and a general requirement for both parents to work now to support themselves how do we support people to make the right choices and tackle a growing problem?

Im really interested to hear people’s opinions on what we can do with such stark figures laid bare.

https://www.telegraph.co.uk/news/2023/05/17/cost-of-obesity-twice-those-who-are-healthy-nhs/

Massive cost of obesity to NHS revealed

Heaviest patients require spending of £1,400 a year, twice the total for those of healthy weight

https://www.telegraph.co.uk/news/2023/05/17/cost-of-obesity-twice-those-who-are-healthy-nhs/

OP posts:
Thread gallery
22
manontroppo · 18/05/2023 14:26

I call bullshit on "hard to eat healthily". Yes, food deserts are a thing but supermarkets have never had longer opening hours or such a wide choice of fresh produce.

The corollary is that it's also never been easier to over consume calories or eat junk food. I'd happily tax Deliveroo and the like out of existence.

CentrifugalBumblePuppy · 18/05/2023 14:28

I’m another who piled on the pounds due to medication & depression, thanks to a congenital spinal condition. Ironically, I was anorexic as a teen, as a result of trying to control the only thing I could in a sea of physical & sexual abuse.

Happy, contented people do not gorge on buns. When I was diagnosed with diabetes last year, it brought a sharp focus to my mental health (a dying father, own business, child with disabilities, my own disability, caring for my mother). Although diet was a big factor, the greatest change I made was recognising I had mental health issues that needed to be addressed.

Im lucky; I have a DH with family private healthcare, so I could access immediately therapy & help. The NHS is at a crisis point, with mental health services extremely underfunded, long wait times & scant provision if inpatient treatment is needed.

As I said, I have a congenital disability. Alongside mental health help, I have been able to get out & exercise within the boundaries of my disability. Again, I’m one of the fortunate ones who can afford to prioritise my physical health. But this is external to the NHS; I know others who were diagnosed with Type 2 around the same time as me who are still waiting for referrals to NHS mental health services to help unpick the compulsions that lead to poor dietary choices.

Let’s be honest here. A good diet is an expensive one. You only need to look at the above inflation rate food price rises to quickly assess that those who rely on low wages and benefits cannot afford good, non ultra high processed food.

We are also time poor. House prices & rents are such that there isn’t much time to prepare good, healthy food for your kids once you have returned home from a full day at work. It isn’t like the 70s when I was a child, where one salary was enough to feed & keep a roof over your family’s heads. What better than a pizza grabbed on the way home from work, to feed the family quickly as they come in from after school care? You’re knackered, the kids are knackered, fast food fulfils that time restricted void.

No one here would be willing to give up 50-75% of their house price to enable one parent to be home to cook healthy nutritious food for the family. We have made housing into a profit making cash grab or pension alternative rather than housing being seen as a home. The fact that one average income doesn’t come anywhere close to affording a mortgage or requiring Housing Benefit to top up private rents shows how successive governments have failed to tackle what is at the heart of good welfare & wellbeing; being warm, safe & loved.

We are in the midst of a cost of living crisis. Even if food was cheaper & at pre Brexit (as an arbitrary date) cost, the CoL energy increases mean that some people, even once they have food to cook, they can’t afford the gas or electricity to heat it.

We can educate ourselves until we’re all nutritionists but that’s sod all use if you can’t afford real ingredients or the means to cook them. Good food & spiralling housing/living costs are not bedfellows that ensure good mental health are they?

Stress, depression, low self esteem, non paying clients, cPTSD, family illness, low income, housing insecurity; all can lead to self medication with cheap, ultra high processed foods that stimulate those reward centres in your brain. I know, because I have been there & done it. And I’m an old, well educated, intelligent bitch.

There is no single solution to the UK’s obesity crisis. It’s a highly complex situation. However, good mental health support would be an excellent start. Reducing housing costs so families are left with a greater percentage of net income to buy good food would help. Making houses homes, not cash cows would be a fabulous sight. Reinvesting profits from energy companies into cheaper, cleaner energy (cough nuclear cough) or renewable sources would help, rather than line the pockets of those that already hold the wealth. I wouldn’t start with education (ironic as I first trained as a teacher many years ago) because it’s bugger all use if you can’t afford the foods or the energy to cook a good, healthy meal.

In a year, I’m a third of my body weight down & still losing. But as I said, I’m one of the lucky ones. Lambasting & vilifying obese people is a self defeating strategy.

And as for that haunted hand puppet Widdicombe in The Guardian yesterday, commodifying a simple cheese sandwich as a luxury item; at least if we chopped her into 80 million pieces & distributed it, we’d all at least have a bit of fruitcake to eat.

dumple · 18/05/2023 14:29

Deliveroo and similar don't deliver here.

I can't do my own shopping so I depend on deliveries from the supermarkets. In order to make that economically sensible, I have to meet a £40 or thereabouts threshold. That's hard when you live on your own and you don't want to waste fresh food and don't want to rely solely on frozen stuff.

Ladykryptonite · 18/05/2023 14:30

Lentils are cheap

midgemadgemodge · 18/05/2023 14:30

You don't need gene analysis

That's your denial coming through loud and strong

Excuses excuses excuses

Most children who are overweight are eating too much and exercising too little

If sone have rare disorders , that will emerge during the courses which will clearly have to be long enough to detect edge cases

People on average have never been as fat
We haven't all developed rare genetic disorders

ejbaxa · 18/05/2023 14:30

Well a good start would be supermarkets not selling so much crap. You could take a porridge sachet thinking "porridge is healthy and sachet is quick - win win" but actually the sachet is stuffed with sugar. I've made this mistake.

Also, take into account real life struggles and stop shaming people. I became obese during a premature menopause. I thought it was stress as we had 2 grandparents dying and a child being terribly bullied. But no, it was my body deliberately stuffing nice fat cells to compensate as it had lost so much oestrogen. I am now not obese anymore - but I really resent the fact that people would just look at me and think - oh - lazy fatty. Nothing could have been further from the truth.

midgemadgemodge · 18/05/2023 14:30

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

PtarmisanCheese · 18/05/2023 14:32

@midgemadgemodge you sound really lovely.

dumple · 18/05/2023 14:32

I'm not whinging. It is what it is. But I won't be the only person with the issues I do.

I have ASD. I cannot eat certain foods. I'm also disabled so I can't exercise more than I am already (walking, in the pool). I am following nhs dietician advice to the letter.

I wish I hadn't had the accident I did so much every day.

ejbaxa · 18/05/2023 14:33

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

I don't know who this is addressed to, but this type of comment is part of the problem. I hope someone struggling with their weight doesn't read this and then go and comfort eat because they feel worthless and judged.

stayflufft · 18/05/2023 14:35

It is shocking how many overweight and obese people there are - and depressing to see overweight kids. I am overweight for my height and doing something about it, mostly because I don’t want to get sick and rely on an overstretched NHS and I need to be here for my kids. I think we need to educate kids about healthy food choices from early on - but that message needs to be present at home too, it shouldn’t just be at school.

Damnspot · 18/05/2023 14:36

dumple · 18/05/2023 14:32

I'm not whinging. It is what it is. But I won't be the only person with the issues I do.

I have ASD. I cannot eat certain foods. I'm also disabled so I can't exercise more than I am already (walking, in the pool). I am following nhs dietician advice to the letter.

I wish I hadn't had the accident I did so much every day.

Dumple in the nicest possible way you have made this entire thread about you.

dumple · 18/05/2023 14:36

Is the answer for me not to do anything then ? Is there no understanding here of what it's like to have a catastrophic change?

God I wish I'd never had the accident so much you have no idea. My life will never be the same.

dumple · 18/05/2023 14:36

@Damnspot I'm the statistic. Also. I have ASD. Socially I'm inept.

silverfullmoon · 18/05/2023 14:41

dumple · 18/05/2023 14:32

I'm not whinging. It is what it is. But I won't be the only person with the issues I do.

I have ASD. I cannot eat certain foods. I'm also disabled so I can't exercise more than I am already (walking, in the pool). I am following nhs dietician advice to the letter.

I wish I hadn't had the accident I did so much every day.

The issue of obesity in general isnt just about you though is it? thats the entire point. There are many causes of obesity and the majority are not caused by very specific syndromes or medical illnesses. I am so sorry for what you have been through but your condition is not a reason to just not bother tackling obesity in general. Thats ridiculous.

Bartg · 18/05/2023 14:42

Agree with others that a whole cultural change needs to be made. A tax on ultra processed food would be a really good start. Eating unhealthily is so ingrained in to society. My kids are constantly given junk food. Big class Parties every weekend when they were little. Also at activities such as beavers and cubs and even their tennis club they always have tuck shop aka eat more junk. And once at secondary school the kids all have burgers and fizzy drinks every day. My kids try to make healthier choices but it’s so hard when it’s just a way of life for everyone. And often the healthier choice is not there.

one week old wrinkled apple as the fruit option isn’t appealing. It should be healthy soups and fresh bread

midgemadgemodge · 18/05/2023 14:42

It's addressed at the endless excuses

"That would make me sick"
"I don't want to eat frozen food"
" I have a illness "
"It's not my fault"
"Life's too stressful "

I know it's hard

But i have been putting up with obese close IRL friends who are living from diet to binge cycles , being supportive and it doesn't help.

I can't change how you behave

But i am fed up pretending ita ok

It hurts you, it hurts others, it costs everyone

And that's hard
But it is possible

ANSI don't want my friends dying because of it , I'm sad when they can't do things because of it , I don't want to hear excuses anymore

PtarmisanCheese · 18/05/2023 14:43

I remember Katie Hopkins deliberately putting on weight so she could lose it to prove how easy it was.

If it was easy, from a mental and/or physiological perspective, then obesity wouldn’t be the problem it is. If some people find it easy, that’s great for them.

This society is much more higher pressured and stressful than it ever was, due to various reasons. If this was somehow fixed and people’s lives were slower, with more time to live, then there’d be a knock on effect on many stress related illnesses, including obesity. Instead there are always increased directives on education, pile on the pressure, workers are expected to do more. It all goes against what it should be to be human, we’re not built for this. So our bodies and brains rebel against us.

WiddlinDiddlin · 18/05/2023 14:45

Nonimai · 18/05/2023 13:54

It is estimated that 11 percent of women worldwide have lipoedema. A not often talked about adipose condition where weight gain is noticeable on the hips bottom, stomach, legs and maybe upper arms and is not caused by overeating, nor can the weight be lost through diet. As a lipoedema sufferer with a bmi over 35 I can speak from bitter experience how the nhs won’t treat me because my bmi means I am ineligible for treatment.

Similarly, they're not interested in the huge amounts of lymphedema I now have as a result of the amount of insulin I need to take even on a relatively low carb, low calorie diet.

They (my drs and specialist nurse) have seen how my weight can fluctate by over 10kg in a WEEK as a result of fluid retention/loss.

I asked the nurse which areas of my body she thought showed pitting edema - she pointed at my feet. I demonstrated that I have pitting edema (severely!) all the way up to my waist.

I have asked about lipedema too, as I fit the criteria, still not interested, dismissed as not important to determine if I do or do not have it, just keep on bashing me about what I eat, how I should make better choices and have more will power (I have plenty, and I do make pretty decent choices).

And then I go to hospital and they can't actually produce a diabetic diet appropriate for an obese patient - despite how terribly easy it apparently is to do. They couldn't supply me the nutritional information for any of their on-site cooked meals, so I could calculate insulin doseage. Their idea of a balanced meal included things like high sugar yoghurts (breakfast, thats it, the whole meal) and peas served with boiled potatoes AND mash (not optional, thats how it came). The other options that day were fish and chips (and yes, the fish was in batter and fried, the chips were also fried), and lamb chops and mash which looked horribly greasy even if I ate meat :vomit

Damnspot · 18/05/2023 14:45

The majority of obesity is because people eat too much of the wrong foods. I can see and understand that the food giants push this food, its cheap and easy, doughnuts are cheaper than berries etc and all that should be dealt with. Also people with no car walking to a takeaway because they have no corner shop or greengrocers so it's easier to get to a chicken shop all these are not peoples fault but all need factoring in.

Concentrating on those who are catastrophically injured or disabled would be silly.

AFishCalledKeith · 18/05/2023 14:46

People are people. The people alive today and so more lazy, greedy, lacking in willpower or any other crap you want to throw at them - than those living 100 years ago. Or in the Middle Ages, for that matter.

In that time, the average calorific consumption has gone DOWN quite significantly.

What has gone up is:

  • the barriers to physical exercise, such as walking to the shop - pollution, traffic, lack of pathways in some areas etc
  • the amount of time we spend working (yes, even when compared to medieval times, we have less free time than the average peasant!)
  • the availability of ultra processed foods
  • obesity

If we want to tackle obesity, we need to start with what has really changed in the world in the same time period as iobesity has become such a big problem.

Damnspot · 18/05/2023 14:47

PtarmisanCheese · 18/05/2023 14:43

I remember Katie Hopkins deliberately putting on weight so she could lose it to prove how easy it was.

If it was easy, from a mental and/or physiological perspective, then obesity wouldn’t be the problem it is. If some people find it easy, that’s great for them.

This society is much more higher pressured and stressful than it ever was, due to various reasons. If this was somehow fixed and people’s lives were slower, with more time to live, then there’d be a knock on effect on many stress related illnesses, including obesity. Instead there are always increased directives on education, pile on the pressure, workers are expected to do more. It all goes against what it should be to be human, we’re not built for this. So our bodies and brains rebel against us.

I think you make a really interesting point with your last sentence

DoorWasAJar · 18/05/2023 14:47

IAmADancer · 18/05/2023 10:55

I think also as nation we have been told calories v calories out is what we should be monitoring, regardless of the food you are putting in your body. With all the research and evidence on UPF’s coming out and the gut micro biome we are starting to understand what is actually causing a lot of the problems .

Exactly this. If anyone wants to help their gut, make sauerkraut, it’s super easy and much more probiotic than pills. I am doing intermittent fasting (eating for 8 hrs than fasting for 16) which works better than calories in/out AND it reverses type II diabetes and other insulin resistance issues. But I have physical and mental illness and waiting for autism/adhd assessment, I can’t really cope anymore, so the weight might have to take a back seat. I can’t really cook or function in general, I slowly got like this because of derelection of duty on behalf of the GPs I repeatedly asked for help.

On the topic of asking for help, people are told to do it, but when you do ask, there is no help given. In Shetland the suicide rates are 40% higher than Scotland, yet I an unable to access actual mental help. I got a psychiatrist who could not be less interested, a social worker who I am too anxious to even meet, no job (because of my autism/cptsd I was struggling and asked GP for help but didn’t get any, and I got fired because my hands and brain don’t work properly together and I learn too slowly and chronic insomnia/night terrors don’t help. Clonidine is commonly used for children in US but here the psychiatrist/GP/Community Mental Health Team never heard of it. It’s not a recreational drug so I just can’t understand why they refuse to try it on me)

Undiagnosed/poorly treated hormonal illness is also very common in the uk, and the diagnostic ranges are far too narrow, leaving many with all sort of health issues. See StopTheThyroidMadness about this, that’s just one example, many people are suffering and having to self medicate. I have a chronic UTI that’s disabled me and living in constant hypothermia and cannot get medical help. The NHS has huge problems that have nothing to do with obesity. Until we honestly address those, everyone’s health will keep suffering.

So much money is wasted due to their policy of gatekeeping the medical care until you’re at death’s door, having to then spend much more. Another example, tens of thousands die from sepsis every year but it’s not a priority?! I just want the NHS to make sense, to be responsive, to take notice of new medical information. That’s how science is supposed to work. And medicine is as much an art as a science, but that’s another problem.

In the NHS, I read completely contradictory advice from different departments/hospitals, the left hand knows not what the right does, the whole system is incredibly inefficient and inhumane. Even while living in a communist dictatorship, there was more efficiency, you can have simple diagnostic scans on the day you need them, not months or years later. I just don’t understand how this is considered a first world country.

Please see the Cumberlege Report, and countless others, saying the same simple thing: the nhs has a problem with listening to people, women in particular, and is causing a lot of avoidable suffering. It’s very cute that the NHS is trying to scapegoat overweight people for its problems but I just don’t buy it.

Slowly nudging us into dictatorship, Social Credit Score like in China(that’s what the government wants to use for weight loss, they already piloted this app, your shopping will be under surveillance) HeadUpSystems had the contract for this. China’s ways are infiltrating so called democracies, under the guise of health, no less. And I thought I’d seen it all!

Wilkolampshade · 18/05/2023 14:47

CentrifugalBumblePuppy · 18/05/2023 14:28

I’m another who piled on the pounds due to medication & depression, thanks to a congenital spinal condition. Ironically, I was anorexic as a teen, as a result of trying to control the only thing I could in a sea of physical & sexual abuse.

Happy, contented people do not gorge on buns. When I was diagnosed with diabetes last year, it brought a sharp focus to my mental health (a dying father, own business, child with disabilities, my own disability, caring for my mother). Although diet was a big factor, the greatest change I made was recognising I had mental health issues that needed to be addressed.

Im lucky; I have a DH with family private healthcare, so I could access immediately therapy & help. The NHS is at a crisis point, with mental health services extremely underfunded, long wait times & scant provision if inpatient treatment is needed.

As I said, I have a congenital disability. Alongside mental health help, I have been able to get out & exercise within the boundaries of my disability. Again, I’m one of the fortunate ones who can afford to prioritise my physical health. But this is external to the NHS; I know others who were diagnosed with Type 2 around the same time as me who are still waiting for referrals to NHS mental health services to help unpick the compulsions that lead to poor dietary choices.

Let’s be honest here. A good diet is an expensive one. You only need to look at the above inflation rate food price rises to quickly assess that those who rely on low wages and benefits cannot afford good, non ultra high processed food.

We are also time poor. House prices & rents are such that there isn’t much time to prepare good, healthy food for your kids once you have returned home from a full day at work. It isn’t like the 70s when I was a child, where one salary was enough to feed & keep a roof over your family’s heads. What better than a pizza grabbed on the way home from work, to feed the family quickly as they come in from after school care? You’re knackered, the kids are knackered, fast food fulfils that time restricted void.

No one here would be willing to give up 50-75% of their house price to enable one parent to be home to cook healthy nutritious food for the family. We have made housing into a profit making cash grab or pension alternative rather than housing being seen as a home. The fact that one average income doesn’t come anywhere close to affording a mortgage or requiring Housing Benefit to top up private rents shows how successive governments have failed to tackle what is at the heart of good welfare & wellbeing; being warm, safe & loved.

We are in the midst of a cost of living crisis. Even if food was cheaper & at pre Brexit (as an arbitrary date) cost, the CoL energy increases mean that some people, even once they have food to cook, they can’t afford the gas or electricity to heat it.

We can educate ourselves until we’re all nutritionists but that’s sod all use if you can’t afford real ingredients or the means to cook them. Good food & spiralling housing/living costs are not bedfellows that ensure good mental health are they?

Stress, depression, low self esteem, non paying clients, cPTSD, family illness, low income, housing insecurity; all can lead to self medication with cheap, ultra high processed foods that stimulate those reward centres in your brain. I know, because I have been there & done it. And I’m an old, well educated, intelligent bitch.

There is no single solution to the UK’s obesity crisis. It’s a highly complex situation. However, good mental health support would be an excellent start. Reducing housing costs so families are left with a greater percentage of net income to buy good food would help. Making houses homes, not cash cows would be a fabulous sight. Reinvesting profits from energy companies into cheaper, cleaner energy (cough nuclear cough) or renewable sources would help, rather than line the pockets of those that already hold the wealth. I wouldn’t start with education (ironic as I first trained as a teacher many years ago) because it’s bugger all use if you can’t afford the foods or the energy to cook a good, healthy meal.

In a year, I’m a third of my body weight down & still losing. But as I said, I’m one of the lucky ones. Lambasting & vilifying obese people is a self defeating strategy.

And as for that haunted hand puppet Widdicombe in The Guardian yesterday, commodifying a simple cheese sandwich as a luxury item; at least if we chopped her into 80 million pieces & distributed it, we’d all at least have a bit of fruitcake to eat.

Yes yes yes to all of this. But especially the Widdecombe picnic.

Please create an account

To comment on this thread you need to create a Mumsnet account.

This thread is not accepting new messages.